DR. JACK JICCHAK BERGER (NPI# 1770568719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770568719 |
| Entity Type | Individual |
| Full Name | DR. JACK JICCHAK BERGER |
| Credential | MD |
| Practice Address |
3030 Westchester Ave Purchase NY 10577-2574 |
| Practice Telephone | 9146826511 |
| Practice Fax Number | 9146076280 |
| Mailing Telephone | 9146826511 |
| Mailing Fax Number | 9146076280 |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2016-01-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
038356 | CT | Allopathic & Osteopathic Physicians |
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
132057 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | HEALTH NET | 0D1950/3C1296 | 01 |
| NY | POMCO | 133884168 | 01 |
| NY | GHI HMO | 000000045882 | 01 |
| NE | AETNA NON HMO | 4540891 | 01 |
| NY | OXFORD | WP461 | 01 |
| NE | BEECH STREET | 133884168 | 01 |
| NY | BLUE CROSS PPO | 51A531 | 01 |
| NY | GHI PPO | 0051090 | 01 |
| NY | HIP | 132057 | 01 |
| NY | EMPIRE STATE PLAN (NYS) | 133884168 | 01 |
| NY | MULTIPLAN | 133884168 | 01 |
| NY | CIGNA | 1721079-005 | 01 |
| NY | PHCS | 517105 | 01 |
| NY | 00597755 | 05 | |
| NY | WORKERS COMPENSATION | 132057-1W | 01 |
| NE | AETNA HMO | 2178760 | 01 |
| NY | CONNECTICARE | 132057 | 01 |
| NY | UNITED HEALTH CARE | 461517 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548782659 | Jack Berger | Counselor | 6013 S Redwood Rd, Taylorsville, UT 84123-5220 | 2017-07-10 |
| 1891873477 | Jack E. Berger | Family Medicine | 2020 Sutter Pl, Davis, CA 95616-6213 | 2006-11-01 |
| 1396784088 | Jack M. Berger | Anesthesiology | 1500 San Pablo St, Los Angeles, CA 90033-5313 | 2006-06-06 |
| 1710984240 | Jack L Berger | Radiology | 601 E Rollins St, Orlando, FL 32803-1248 | 2005-06-30 |
| Street Address |
3030 WESTCHESTER AVE |
| City | PURCHASE |
| State | NY |
| Zip Code | 10577-2574 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427051143 | Sheldon Alter | Internal Medicine | 3030 Westchester Ave, Purchase, NY 10577-2574 | 2005-05-27 |
| 1639770415 | Jennifer Llanos | Physical Therapist | 3030 Westchester Ave, Purchase, NY 10577-2574 | 2020-11-06 |
| 1821633918 | Sarah Jean Borchert | Physical Therapist | 3030 Westchester Ave, Purchase, NY 10577-2574 | 2019-11-12 |
| 1437700267 | Caitlin Mcnally | Social Worker | 3030 Westchester Ave, Purchase, NY 10577-2574 | 2019-09-23 |
| 1487211967 | Theresa H Brewer | Occupational Therapist | 3030 Westchester Ave, Purchase, NY 10577-2574 | 2019-05-21 |
| 1386116887 | Nataliya Yatsevich | Physical Therapist | 3030 Westchester Ave, Purchase, NY 10577 | 2018-12-20 |
| 1619461043 | Katherine Estelle Wolff | Physical Medicine & Rehabilitation | 3030 Westchester Ave, Purchase, NY 10577 | 2018-06-19 |
| 1093205098 | Lester John Tiglao Pena | Physical Therapist | 3030 Westchester Ave, Purchase, NY 10577-2574 | 2018-05-15 |
| 1184127151 | Patricia Louise Cerbo | Physical Therapist | 3030 Westchester Ave, Purchase, NY 10577-2574 | 2018-03-15 |
| 1083121149 | Jonathan Corti | Physical Therapist | 3030 Westchester Ave, Purchase, NY 10577-2574 | 2018-01-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164077475 | Nicholas Ghelarducci | Psychologist | 2700 Westchester Ave #300, Purchase, NY 10577 | 2019-08-04 |
| 1821507856 | Olubunkunola Bamgbose | Psychologist | 2700 Weschester Avenue, 300, Purchase, NY 10577 | 2017-09-21 |
| 1114334273 | Jessica Kim-vaghela | Obstetrics & Gynecology | 3010 Westchester Ave Ste 400, Purchase, NY 10577 | 2014-07-21 |
| 1912248675 | Massiel Grullon | Nurse Practitioner | 2700 Westchester Avenue, Purchase, NY 10577 | 2013-03-06 |
| 1952676959 | Jeremy Sean Lubin | Dentist | 2975 Westchester Ave. Suite 100, Purchase, NY 10577 | 2012-03-09 |
| 1669790259 | Jane Kim | Anesthesiology | 3030 Westchester Avenue, Purchase, NY 10577 | 2010-05-07 |
| 1184877854 | Jennifer Lynn Dolan | Behavioral Analyst | 2500 Westchester Avenue, All About Kids, Purchase, NY 10577 | 2008-10-28 |
| 1467573642 | Cleopatra Y Espinosa | Physical Therapist | 3010 Westchester Avenue- Suite 107, Suite 107, Purchase, NY 10577 | 2007-04-03 |
| 1851446652 | Michael Joseph Bardwell | Chiropractor | 3000 Westchester Avenue, Suite 203, Purchase, NY 10577 | 2007-01-24 |
| 1528179694 | Michael A Werner Md PC | Urology | 2975 Westcher Ave, Suite G03, Purchase, NY 10577 | 2006-08-31 |
| Find all providers in zip 10577 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851490783 | Svetlana Krasnokutsky | Internal Medicine | 3030 Westchester Ave, Purchase, NY 10577-2574 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679195077 | New York Rheumatology Care, PC | Internal Medicine | 1020 Park Ave Fl 1, New York, NY 10028-0913 | 2020-05-08 |
| 1659865962 | Dorothy Lacombe Adult Healthcare Nurse Practitioner Pllc | Internal Medicine | 954 Rt 146, Suite 3, Clifton Park, NY 12065 | 2018-06-20 |
| 1730601196 | New York University | Internal Medicine | 333 East 38th Street, New York, NY 10016 | 2017-07-07 |
| 1023539566 | New York University | Internal Medicine | 233 Broadway Ste 620, New York, NY 10279-0001 | 2017-07-06 |
| 1851846240 | Bernard Joffe | Internal Medicine | 10 Paula Pl, Chappaqua, NY 10514-1632 | 2016-08-16 |
| 1811377989 | Liliya Gandrabur | Internal Medicine | 4422 Third Ave Mills Bldg 3rd Fl, Dept of Internal Medicine, Bronx, NY 10457 | 2015-06-04 |
| 1568859007 | Varun Bhalla | Internal Medicine | 17 E 102nd St Ste 4d, New York, NY 10029 | 2015-04-22 |
| 1992195283 | Northeast Rheumatology PC | Internal Medicine | 85-49 Eliot Avenue Unit G, Rego Park, NY 11374 | 2015-01-26 |
| 1679962542 | Craig Smuda | Internal Medicine | 324 E 23rd St Fl 1, New York, NY 10010-4701 | 2015-01-15 |
| 1174927925 | Bradley Schlussel | Internal Medicine | 424 W Park Ave, 2nd Floor, Long Beach, NY 11561-3129 | 2014-10-22 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.